Organization
COMMUNITY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN LIU DMD (PRESIDENT)
(617) 291-8838
Entity
Organization
Contact information
Practice address
1 ELM AVE, QUINCY, MA 02170-2923
(617) 472-7499
Mailing address
1 ELM AVE, QUINCY, MA 02170-2923
(617) 291-8838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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